This paper provides a comprehensive overview of oral body modifications, focusing on procedures, materials, history, and potential risks. Piercing involves creating perforations in the skin or mucosa with a needle and inserting jewelry. The most common oral piercing is the tongue piercing. This procedure requires a thorough understanding of anatomy to avoid damaging important anatomical structures. Other possible oral piercings include those on the lingual or labial frenulum, uvula, or transgingival piercing. Tooth jewelry is becoming an increasingly popular aesthetic procedure. It includes options such as tooth gems, grillz, and dental tattoos. Tooth gems are small, often colorful crystals affixed to teeth. Gold crowns and grillz, which are removable pieces of jewelry, offer more elaborate decorations. Dental tattoos are unique designs on ceramic crowns. Intraoral tattoos are permanent tattoos on the oral mucosa. Tongue splitting involves dividing the tongue down the middle to create a "snake tongue" appearance. This purely aesthetic procedure usually involves scalpel cutting or cauterization of the tongue. Historical context shows that body adornment practices were present in many ancient cultures for ceremonial and social purposes. Materials for jewelry ranged from natural substances like bone and wood to modern metals and synthetic materials. Jewelry materials include surgical stainless steel, titanium, and bioplastics, each with different health implications. Bioplastic is lightweight and biocompatible but may lead to increased plaque buildup and bone loss compared to metals. Material choice affects oral health, with different materials associated with varying levels of plaque, gum recession, and bone loss.